PMID- 19484784 OWN - NLM STAT- MEDLINE DCOM- 20091001 LR - 20211203 IS - 0008-543X (Print) IS - 0008-543X (Linking) VI - 115 IP - 17 DP - 2009 Sep 1 TI - Synergistic effect of rapamycin and cisplatin in endometrial cancer cells. PG - 3887-96 LID - 10.1002/cncr.24431 [doi] AB - BACKGROUND: Mammalian target of rapamycin (mTOR) inhibitors modulate signaling pathways involved in cell cycle progression, and phase 2 trials for endometrial cancer are currently being conducted. Because rapamycin is known to enhance the cytotoxicity of chemotherapeutic drugs, the authors' goal was to examine the effects of rapamycin and cisplatin in endometrial cancer cell lines. METHODS: By using Ishikawa and ECC-1 cells, cell proliferation was assessed after exposure to rapamycin, cisplatin, or both in combination. The combination index (CI) was calculated using the method of Chou and Talalay. Apoptosis was evaluated by flow cytometry. Immunoblot analysis was performed to assess expression of S6 kinase 1 and the DNA mismatch repair proteins, MSH2 and MSH6. mTOR small interfering (siRNA) was transfected into the cell lines, and proliferation and apoptosis were assessed after exposure to cisplatin. RESULTS: Cisplatin inhibited growth in a dose-dependent manner in both cell lines (median inhibition concentration of 8-13 muM). Simultaneous exposure of cisplatin in combination with rapamycin resulted in a significant synergistic antiproliferative effect (CI < 1). Rapamycin increased cisplatin-induced apoptosis and stimulated expression of MSH2 and MSH6 in the cisplatin-treated cell lines. Cell growth was significantly decreased in cells transfected with mTOR siRNA and treated with cisplatin compared with either alone (CI < 1). Transfection of mTOR siRNA did not induce apoptosis, but combined treatment with cisplatin increased apoptosis over that of cisplatin alone. CONCLUSIONS: The results of the current study provide evidence of a synergistic relation between rapamycin and cisplatin in both inhibition of cell growth and induction of apoptosis. This suggests that rapamycin and cisplatin may be a rational combination of a targeted therapy for endometrial cancer. FAU - Bae-Jump, Victoria L AU - Bae-Jump VL AD - Department of Obstetrics and Gynecology, University of North Carolina, Chapel Hill, NC, USA. vbae@unch.unc.edu FAU - Zhou, Chunxiao AU - Zhou C FAU - Boggess, John F AU - Boggess JF FAU - Gehrig, Paola A AU - Gehrig PA LA - eng GR - KL2 RR025746/RR/NCRR NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PL - United States TA - Cancer JT - Cancer JID - 0374236 RN - 0 (DNA-Binding Proteins) RN - 0 (G-T mismatch-binding protein) RN - EC 2.7.- (Protein Kinases) RN - EC 2.7.1.1 (MTOR protein, human) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) RN - EC 3.6.1.3 (MSH2 protein, human) RN - EC 3.6.1.3 (MutS Homolog 2 Protein) RN - Q20Q21Q62J (Cisplatin) RN - W36ZG6FT64 (Sirolimus) SB - IM MH - Antineoplastic Combined Chemotherapy Protocols/*therapeutic use MH - Apoptosis/drug effects MH - Cell Line, Tumor MH - Cell Proliferation/drug effects MH - Cisplatin/*administration & dosage MH - DNA-Binding Proteins/metabolism MH - Drug Screening Assays, Antitumor MH - *Drug Synergism MH - Endometrial Neoplasms/*drug therapy MH - Female MH - Gene Expression Regulation, Neoplastic MH - Humans MH - MutS Homolog 2 Protein/metabolism MH - Protein Kinases/genetics/metabolism MH - Sirolimus/*administration & dosage MH - TOR Serine-Threonine Kinases MH - Transfection EDAT- 2009/06/02 09:00 MHDA- 2009/10/02 06:00 CRDT- 2009/06/02 09:00 PHST- 2009/06/02 09:00 [entrez] PHST- 2009/06/02 09:00 [pubmed] PHST- 2009/10/02 06:00 [medline] AID - 10.1002/cncr.24431 [doi] PST - ppublish SO - Cancer. 2009 Sep 1;115(17):3887-96. doi: 10.1002/cncr.24431.